Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $400.95 / $400.95 / $2,244.21	Facility		$400.95	$400.95	$2,244.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $637.76 / $637.76 / $4,363.25	Professional		$637.76	$637.76	$4,363.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $227.81 / $227.81 / $236.93	Professional		$227.81	$227.81	$236.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,470.00 / $8,584.00 / $11,253.00	Facility		$5,470.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $370.36 / $2,279.06 / $3,804.32	Professional		$370.36	$2,279.06	$3,804.32
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $555.54 / $3,418.59 / $5,473.36	Professional	50	$555.54	$3,418.59	$5,473.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $373.46 / $510.30 / $588.67	Facility		$373.46	$510.30	$588.67
CareSource Facility/Professional Professional Modifier Low / Median / High Price $399.60 / $597.54 / $4,080.38	Professional		$399.60	$597.54	$4,080.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $608.66 / $608.66 / $608.66	Professional		$608.66	$608.66	$608.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $2,814.81 / $4,389.70 / $5,301.51	Professional		$2,814.81	$4,389.70	$5,301.51